﻿@model Adams.Public.DataTransfer.Web.Donate.Confirm.PageLoad
@{
    Layout = "~/Views/Shared/_AppLayout.cshtml";
}
@section Head{
}
<h1>Donation Confirmation</h1>

Please check and make sure the information below is accurate.

<div id="form">
    <div id="notif">
    </div>
    <div class="form-left">
        <div class="form-text">
            Amount:</div>
        <div class="form-right">
            @string.Format("{0:C}", Model.Quick.Amount)
        </div>
    </div>
    <div class="form-left">
        <div class="form-text">
            Designation:</div>
        <div class="form-right">
            @Model.Quick.Bucket.Name
        </div>
    </div>
    <div class="clear">
    </div>
    <h2>
        Billing Information</h2>
    <div class="form-left">
        <div class="form-text">
            Title:</div>
        <div class="form-right">
            @Model.Quick.Title
        </div>
    </div>
    <div class="form-left">
        <div class="form-text">
            First Name:</div>
        <div class="form-right">
            @Model.Quick.FirstName
        </div>
    </div>
    <div class="form-left">
        <div class="form-text">
            Last Name:</div>
        <div class="form-right">
            @Model.Quick.LastName
        </div>
    </div>
    <div class="form-left">
        <div class="form-text">
            Street:</div>
        <div class="form-right">
            @Model.Quick.Street
        </div>
    </div>
    <div class="form-left">
        <div class="form-text">
            Street 2:</div>
        <div class="form-right">
            @Model.Quick.Street2
        </div>
    </div>
    <div class="form-left">
        <div class="form-text">
            City:</div>
        <div class="form-right">
            @Model.Quick.City
        </div>
    </div>
    <div class="form-left">
        <div class="form-text">
            State:</div>
        <div class="form-right">
            @Model.Quick.State
        </div>
    </div>
    <div class="form-left">
        <div class="form-text">
            Zip:</div>
        <div class="form-right">
            @Model.Quick.ZipCode
        </div>
    </div>
    <div class="form-left">
        <div class="form-text">
            Phone:</div>
        <div class="form-right">
            @Model.Quick.Phone
        </div>
    </div>
    <div class="form-left">
        <div class="form-text">
            Email:</div>
        <div class="form-right">
            @Model.Quick.Email
        </div>
    </div>
    <div class="clear">
    </div>
    <h2>
        Payment Information</h2>
    <div class="form-left">
        <div class="form-text">
            Card Holder's Name:</div>
        <div class="form-right">
            @Model.Quick.CardHolderName
        </div>
    </div>
    <div class="form-left">
        <div class="form-text">
            CardNumber:</div>
        <div class="form-right">
            XXXX-XXXX-XXXX-@Model.Quick.CardLast4Digits
        </div>
    </div>
    <div class="form-left">
        <div class="form-text">
            Card Type:</div>
        <div class="form-right">
            @Model.Quick.CardType
        </div>
    </div>
    <div class="form-left">
        <div class="form-text">
            Expires On:</div>
        <div class="form-right">
            @Model.Quick.CardExpireMonth/@Model.Quick.CardExpireYear
        </div>
    </div>
    <div class="form-left">
        <div class="form-text">
            Security Code:</div>
        <div class="form-right">
            @Model.Quick.CardSecurityCode
        </div>
    </div>
    <div class="form-left">
        <div class="form-text">
            &nbsp;</div>
        <div class="form-right">
            <a href="#">
                <img src="/Content/Images/submit.jpg" alt="Submit" border="0" id="submit" /></a></div>
    </div>
    <div class="clear">
    </div>
</div>
<input id="DonationID" type="hidden" value="@Model.DonationID" />
@section Scripts {
    <script src="/Scripts/Donate/confirm.js" type="text/javascript"></script>
}

